- NJM Insurance (Trenton, NJ)
- Join NJM Insurance Group's Medical Claim Services (MCS) team as a Business Process Analyst , where you will play a key role in driving process improvement ... work independently and collaboratively in a fast-paced environment. + Familiarity with business analysis and process improvement methodologies. + Willingness to… more
- NJM Insurance (Trenton, NJ)
- …within the organization? NJM's West Trenton Workers Compensation Department (WCC) is seeking a Business Process Analyst (based on credentials, this role can ... continuity and technology initiatives for the Workers Compensation Claims business unit. The focus of this...or Senior level based on skills, experience and credentials. Business Process Analyst , Associate: $49,871… more
- Deloitte (Philadelphia, PA)
- …who wants to work in a collaborative environment? As an experienced Epic Resolute PB Claims Analyst you will have the ability to share new ideas and collaborate ... onsite client service delivery. Work you'll do/Responsibilities As a Project Delivery Senior Analyst (PDSA) at Deloitte, you will work within an engagement team and… more
- Deloitte (Philadelphia, PA)
- …work in a collaborative environment. As an experienced Epic Resolute Hospital Billing Analyst Project Delivery Specialist, you will have the ability to share new ... focus on delivering services to clients, without additional expectations related to business development or promotion. Their employment is tied to their role on… more
- Highmark Health (Trenton, NJ)
- …**Required** + 1 - 3 years of experience in a Business Analyst or Business Process Analyst role or experience in a related operational area (eg ... change initiatives involved in the design and delivery of business process solutions, implementation strategies, and control...claims , billing, customer service, etc.) **Preferred** + 0 -… more
- PPL Corporation (Allentown, PA)
- …PPL's corporate insurance programs and any special programs in place for specific business lines. + Support claims management activities such as monitoring ... Business Administration or a related field. + Insurance Analyst consideration - at least 2 years' experience in...programs and any special programs in place for specific business lines. + Support claims management activities… more
- NJM Insurance (Trenton, NJ)
- …consistency of data to support the end-to-end journey. Partner with the department Business Process Unit to identify, plan and prioritize source system ... reaffirmed by the most recent JD Power Auto Insurance Claims Survey. Over the last five years, the Company...methods. NJM's Marketing team is Seeking an Associate Insights Analyst (the official NJM Title is Business … more
- Insight Global (Newtown, PA)
- …A healthcare insurance company's Enterprise Data Office is hiring for a Data/ Business Systems Analyst with strong techno functional experience to lead data ... will have expertise in Payor data and processes like Claims , Population Health and payor data standards. This person...and Requirements - 8+ years of experience as a Business Systems/Data Analyst - 5+ years in… more
- Insight Global (King Of Prussia, PA)
- Job Description One of our large healthcare software clients are looking for a Business Analyst to join their growing team. The Staff Business Analyst ... analysis, and solution design phases of high focus initiatives. The Staff Business Analyst collaborates closely with senior stakeholders, technical teams, and… more
- Sedgwick (Trenton, NJ)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance (Remote) Process Improvement Project Analyst - Casualty **PRIMARY PURPOSE** **:** : To ... to include experience with leading quality initiatives and data intensive projects, claims operations, and general business experience with emphasis on data… more
- Baylor Scott & White Health (Trenton, NJ)
- …standards. + Collaborates across various departments to design and implement any business process and/or systems changes to meet encounter data processing ... and ROI. + Contributes to program improvement by designing and implementing business process and system changes, collaborating to resolve encounter data… more
- Philadelphia Insurance Companies (Bala Cynwyd, PA)
- …Certification(s) preferred Preferred Qualifications: + 1+ years' experience as a Business Analyst preferred + 1+ years' experience supporting underwriting ... participate in business requirements gathering for projects and enhancements, utilizing business analysis tools and techniques such as process modeling, data… more
- BrightView (Blue Bell, PA)
- …establishing performance goals and accountability measures + Oversee the end-to-end claims process for Auto, Workers' Compensation, and General Liability ... of claims professionals, providing strategic oversight, TPA performance management, process improvement leadership, and claims outcome optimization. The role… more
- NJM Insurance (Trenton, NJ)
- …Training and Quality Assurance Management Supervisor, the WC Quality Assurance/Compliance Analyst is responsible for ensuring adherence to state and federal ... audit program development and file selection, assuring the review process is proper and timely. + Conduct WC Claim...data integrity, compliance, and best practices. + Collaborate with claims management in the development of meaningful action plans… more
- Prime Therapeutics (Trenton, NJ)
- …our passion and drives every decision we make. **Job Posting Title** Pricing Analyst - REMOTE **Job Description** The Pricing Analyst maintains, provides ... with high-complexity pricing analyses. **Responsibilities** + Analyze and produce pharmacy claims data reporting of varying complexity to assess competitiveness &… more
- Zurich NA (Trenton, NJ)
- …to deliver insights to management teams. + Supporting the planning and forecasting process and collaborating with business unit leadership to explain changes and ... Senior Performance Analyst I 128611 Zurich North America is seeking an intellectually curios Claims Finance Consultant to join our Claims Finance team! The… more
- Prime Therapeutics (Trenton, NJ)
- …our passion and drives every decision we make. **Job Posting Title** Pricing Analyst Senior - Remote **Job Description** The Senior Pricing Analyst participates ... Recommend new and revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other relevant data of… more
- Evolent (Trenton, NJ)
- …selves to work. That's one reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ... **Lead Analyst , Performance Analytics - Oncology & Member Product Focus**...Lead in-depth analyses of healthcare data - including authorizations, claims , membership, and clinical outcomes to identify cost drivers,… more
- Prime Therapeutics (Trenton, NJ)
- …& Reporting Analyst - Remote **Job Description** The Data & Reporting Analyst is responsible for supporting the business in decision making and operations ... efforts by providing data, reporting and business intelligence services. This role is responsible for working...modeling + PBM experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data… more
- Intermountain Health (Trenton, NJ)
- …process re-engineering, projects and committees to improve the efficiency of the business + Identify system and process improvement opportunities to reduce ... **Job Description:** The Denials Analyst is responsible for tracking denials across the...lead committee meetings and present their findings to diverse business audiences ranging up to C-suite level with confidence… more